Living organ donation will soon become the source of the majority of organs donations for transplant. Should mentally handicapped people be allowed to donate, or should they be considered a vulnerable group in need of protection? I discuss three cases of possible living organ donors who are developmentally disabled, from three different cultures, the United States, Germany, and India. I offer a brief discussion of three issues raised by the cases: (1) cultural diversity and cultural relativism; (2) (...) autonomy, rationality, and self-interest; and (3) the proper use and role for clinical ethics consults. (shrink)

For decades a debate has played out in the literature about who bioethicists are, what they do, whether they can be considered professionals qua bioethicists, and, if so, what professional responsibilities they are called to uphold. Health care ethics consultants are bioethicists who work in health care settings. They have been seeking guidance documents that speak to their special relationships/duties toward those they serve. By approving a Code of Ethics and Professional Responsibilities for Health Care Ethics Consultants, (...) the American Society for Bioethics and Humanities (ASBH) has moved the professionalization debate forward in a significant way. This first code of ethics focuses on individuals who provide health care ethics consultation (HCEC) in clinical settings. The evolution of the code's development, implications for the field of HCEC and bioethics, and considerations for future directions are presented here. (shrink)

This was a class handout that I turned into a publication. As its title indicates, it's about the relation (or non-relation) of (ethical) cultural relativism to tolerance. Core elements of the paper were later absorbed into sections 5K, 6M, and 7K of my paper "Cultural Relativism" (2000), which is listed (and downloadable) on my PhilPapers page.

This book introduces major philosophical theories and issues in the context of the contemporary debate about the so-called culture wars in American society. It is designed to make these theories come alive as they are related to these vital contemporary concerns and to provide a framework within which to assess the ongoing debate about the future direction of Western culture. As a book in ethical theory, it is designed to provide the framework for clear and comprehensive thinking about our (...) class='Hi'>cultural development. Classical ethical positions like cultural relativism, emotivism, egoism, hedonism, utilitarianism and theorists like Kant are introduced and assessed. The contemporary theorists John Rawls and Alasdair MacIntyre are given extensive treatment and made accessible to the introductory student in philosophy. Culture War and Ethical Theory exhibits a non-ptolemical tone as it relates these theories, for heuristic purposes, to the contrasting perspective of fundamentalism and secular humanism. These two viewpoints are treated fairly without pretense of thorough exposition. They were chosen because they set the contemporary debate in stark relief. Thus, they assist the reader in understanding the relationship of philosophical reflection to commonly held perspectives. (shrink)

This book provides an analysis of the debate surrounding cultural diversity, and attempts to reconcile the seemingly opposing views of "ethical imperialism," the belief that each individual is entitled to fundamental human rights, and cultural relativism, the belief that ethics must be relative to particular cultures and societies. The author examines the role of cultural tradition, often used as a defense against critical ethical judgments. Key issues in health and medicine are explored in the context (...) of cultural diversity: the physician-patient relationship, disclosing a diagnosis of a fatal illness, informed consent, brain death and organ transplantation, rituals surrounding birth and death, female genital mutilation, sex selection of offspring, fertility regulation, and biomedical research involving human subjects. Among the conclusions the author reaches are that ethical universals exist, but must not be confused with ethical absolutes. The existence of ethical universals is compatible with a variety of culturally relative interpretations, and some rights related to medicine and health care should be considered human rights. Illustrative examples are drawn from the author's experiences serving on international ethical review committees and her travels to countries in Africa, Asia, and Latin America, where she conducted educational workshops and carried out out her own research. (shrink)

This chapter contains sections titled: Cultural relativism Ethical absolutism A cognitive alternative to EA: ethical relativism External and internal objections to ER Finding the middle ground: pluralistic relativism Ethics in business Conclusion.

The movement to respect culturaldiversity, known as multiculturalism, poses a dauntingchallenge to healthcare ethics. Can we construct adefensible passage from the fact of culturaldifferences to any claims regarding morality? Or doesmulticulturalism lead to ethical relativism? Macklinargues that, in view of a leading distinction betweenuniversalism in ethics and moral absolutism, the onlyreasonable passage avoids both absolutism andrelativism. She presents a strong case againstethical relativism and its pernicious consequences forcross-cultural issues in healthcare. She alsoprovides sound criteria for (...) the assessment of aculture's moral progress. (shrink)

Nowadays we are increasingly confronted with the fact of plurality. The result of plurality is relativism. Moral relativism is related to cultural plurality (both intercultural and intracultural) and the impossibility of universalising any of the two. Ethical relativism is associated with a plurality of ethical concepts and the impossibility of privileging any of these. “Ethical competence” refers to skills of possessing a particular ethical theory that allows one to navigate through the moral world. Postmodern ethics (...) formulates ethical principles and moral standards that regulate life in a pluralistic society in which relativism prevails. (shrink)

There have been debates across the globe for a social and culturally sensitive ethics to meditate a catalyst of template for informed consent (IC) in the conduct of social researches and clinical trial. The study adopted ethical relativism theory to explore social and cultural contingencies on IC with descriptive research design and snowball sampling techniques with a pool of 23 participants randomly and purposively selected amongst the stakeholders including researchers. Seven lecturers and 5 medical practitioners from selected (...) universities, 5 clergy members of different genders and denominations with 2 Imams, 1 chief and 2 traditional health practitioners completing the pool. The data were compiled separately with pseudonym to maintain the anonymity of the participants and content analysed thematically to probe awareness, understanding, patriarchy and religious dimensions on IC. The paper argued that ethics and law regulations must be strengthened to leverage on different individual values, norms and social indices. The paper concluded and suggested that researchers can avoid and resolve ethical dilemmas and maintain research regularity when ethical obligations are well understood and strictly adhered to, and to develop the Informed Consent Evaluation Feedback Tool (ICEFbT) with oversight function from Institution Review Board (IRB) in the universities and research institutes before the commencement of research and/or medical procedures. (shrink)

Alfred Stein, em memória de quem esse artigo é dedicado, mantinha, enquanto filósofo da história, a crença em valores absolutos como obsoletos bem como, enquanto filósofo da ética, o convencimento sobre a aleatoriedade relativista-cultural na valoração moral da ação humana. De uma tal valoração aparece indicado reconstruir a ação adequadamente, ou seja, compreendê-la intencionalmente e explicá-la por meio da causalidade. No decorrer desse compreender e desse explicar, se deve fazer uma referência a isso que Stern com, entre outros, Blaise (...) Pascal, chama de “a condição humana” (la condition humaine): o fato de que o humano é um ser consciente de si mesmo, de que ele é determinado por uma vontade de autopreservação, de que ele ama e odeia, de que ele sofre, busca escapar do sofrimento, de que ele sabe de sua mortalidade e, por fim, morre. De maneira semelhante à anthropéia physis de Thukydides, essas condições variantes resultam decorrer de ação bem diferentes e padrões de comportamento, de acordo com as especificidades da situação histórica – parecido com como um balão sobe, sob o efeito da mesma lei da gravidade, uma pedra, entretanto, cai ao chão. Seguindo essa construção compreensivo-explicativa da ação, vêm a sua valoração moral. Esta é, com Stein, guiada pelo princípio da liberdade como de um ser-livre de pressão e pelo princípio da maior minimização possível do sofrimento humano. (shrink)

The need for explicit theoretical reflection on cross-cultural bioethics continues to grow as the spread of communication technologies and increased human migration has made interactions between medical professionals and patients from different cultural backgrounds much more common. I claim that this need presents us with the following dilemma. On the one hand, we do not want to operate according to an imperialist ethical framework that denies and silences the legitimacy of cultural values other than our own. On (...) the other hand, we do not want to backslide into a form of cultural relativism that is unable to critically appraise cultural practices that are harmful, unjust, or oppressive. I examine two prominent attempts – the principlism of Tom Beauchamp and James Childress and the Contractarianism of Robert Baker – to frame cross-cultural bioethics between these two extremes and argue that both approaches have significant flaws. The principlist approach fails to provide a non-question begging way to identify cross-cultural norms that does not already assume the universal legitimacy of moral principles dominant in North American society. Baker's contractarianism cannot grapple with the realities of political power imbalances that often characterize cross-cultural moral disputes. I suggest that a naturalized feminist framework, though not free of its own theoretical difficulties, provides the best alternative for approaching moral diversity respectfully and critically. (shrink)

In After God: Morality and Bioethics in a Secular Age, H. Tristram Engelhardt, Jr. explores the broad implications for moral reasoning once a culture has lost a God’s-eye perspective. In this paper, I focus on the implications of Engelhardt’s views for clinical ethics consultation. I begin by examining the question of whether clinical ethics consultants should advocate a particular viewpoint and/or process during consultations or adopt a neutral stance. I then examine the implications of Engelhardt’s views for (...) this question. Finally, I discuss some of Engelhardt’s foundational ontological, metaphysical, meta-ethical, and epistemological commitments and how these commitments connect to his views on clinical ethics consultation. (shrink)

Taking seriously the value of cultural competence in healthcare requires at least three general commitments. First, it involves accepting the view that patients' health beliefs and behaviors are influenced to a significant degree by their own social and cultural practices. Second, it requires careful attention to how health professionals typically respond to patients' different social and cultural standards at various levels of the healthcare delivery system. And third, it calls for developing interventions that are sensitive to these (...) first two issues to assure the delivery of quality healthcare for culturally diverse patients. This much is plain, insofar as we are talking about the broadest of commitments necessary to support the value of cultural competence in healthcare. But what other, more specific commitments are implied in accepting the value of cultural competence? (shrink)

The free world stands and falls on its cultural and religious policies, which affect not only the social structures within countries, but also the relations between people and peoples, generations and nations. No culture can exist in the abstract, and therefore no one can take an intelligent interest in cultural and religious affairs without a clear and consistent philosophy of life. However, after years of development we see a widening gap between people and groups in the same society (...) caused by different viewpoints on the same issues. The „fringe population” becomes more and more disillusioned because of unemployment or poverty. In this marginalized zone lie the strongest roots of radical issues, because these people do not have very much to lose. These people find hope and solutions in the radical ideas of extreme groups, i.e. in religious sects, in right-wing quasi-political groups (the Neo-Nazis) or left-wing groups (Neo-Communists). It may prove fruitful to look into the fundamentals of the tension between relativism and radicalism for a better understanding the role of morality and ethics in a globalized world. (shrink)

Cultural diversity and globalization bring about a tension between universal ethics and local values and norms. Simultaneously, the current globalization and the existence of an increasingly interconnected world seem to require a common ground to promote dialog, peace, and a more humane world. This article is the introduction to a special issue of the Journal of Business Ethics regarding these problems. We highlight five topics, which intertwine the eight papers of this issue. The first is whether moral (...) diversity in different cultures is a plausible argument for moral relativism. The second focuses on the possibility of finding shared values and virtues worldwide. The third topic deals with convectional universalistic ethical theories in a global world and the problems they present. Fourth, we consider the traditional natural moral law approach in the context of a global world. The last topic is about human rights, as a practical proposal for introducing universal standards in business. (shrink)

In this paper I refute the chief arguments for cultural relativism, meaning the moral (not the descriptive) theory that goes by that name. In doing this I walk some oft-trodden paths, but I also break new ones. For instance, I take unusual pains to produce an adequate formulation of cultural relativism, and I distinguish that thesis from the relativism of present-day anthropologists, with which it is often conflated. In addition, I address not one or two, (...) but eleven arguments for cultural relativism, many of which contribute to its popularity but receive scant attention from its critics. To elicit the failings of these arguments I deploy a host of pertinent but often neglected distinctions. (shrink)

Machine generated contents note: CHAPTER 1. Cultural and Ethical Relativism -- I. Cultural Relativism -- II. Approval Theories -- III. Ethical Relativism -- IV. Institutionalism and Ethical Relationism -- CHAPTER 2. Positivism, Postmodernism and Ethical -- Relativism -- I. Metaethical Theories -- II. Positivism and Ethics -- III. Postmoder Cognitive Relativism -- IV Ethical Relativism -- CHAPTER 3. Cultural-Ethical Relativism: A Critique -- I. The Limited Validity of Cultural (...) Relativism -- II. Approbation Theories -- III. 'Is' and 'Ought' Controversy -- IV Some Further Arguments Concerning Ethical -- Relativism -- CHAPTER 4. Relativism: Positivist and Postmodern: -- A Critique -- I. Recapitulation -- II. Non-cognitivist Theories -- III. Postmodern Cognitive Relativism -- IV. Indeterminacy of Translation, Inscrutability of -- Reference, Conceptual Schemes, and -- Incommensurability -- V Some Further Comments --CHAPTER 5. Anti-Relativist Trends: Realism and -- Universali -- I. Introductory Remarks -- II. Realism: Metaphysical and Epistemological -- m. Realism and Ethical Discourse -- IV Ethical Universalism -- V Are Realism and Universalism Complementary? -- CHAPTER 6. The Moral Point of View -- I. Overridingness -- II. Objectivity and Universality -- II. Impartiality and Reversibility -- IV Equality and Justice -- V Towards Universal Morality -- CHAPTER 7. Self and Others -- I. Early Views -- II. Existentialist View -- III. Liberals and Communitarians -- IV. Kantian Perspective -- V Indian Perspective -- CHAPTER 8. A Rational Approach to Universal -- Morality -- I. Objectivity and Validity -- II. A Rational Approach -- II. Reason and Dialogue -- IV. Concluding Note. (shrink)

This paper is based on the assumption that critical rationalism represents a middle position between absolutist and relativistic positions because it rejects all attempts of ultimate justification as well as basic relativistic claims. Even though the critical-rationalist problem-solving-approach based on the method of trial and error leads to an acknowledgment of the plurality of theories and moral standards, it must not be confused with relativism. The relativistic claims of the incommensurability of cultures and the equality of all views of (...) the world and all moral systems can be challenged by two basic critical‐rationalist arguments:(1) Popper’s critique of ‚the myth of the framework’; (2) the criticalrationalist conception of different levels of rationality (Albert, Agassi and Jarvie). In ethics moral standards and norms can be interpreted from a critical‐rationalist perspective as undogmatic suggestions for the regulation of social behaviour and as attempts to answer different problems, resulting from social life. This allows for the comparison of different moral standards, norms, practices and institutions with reference to the underlying problem situation and the search for culturally overlapping moral standards. (shrink)

ABSTRACTEmployees who possess cross-cultural capabilities are increasingly sought after due to unparalleled numbers of cross-cultural interactions. Previous research has primarily focused on the bright side of these capabilities, including important individual and work outcomes. In contrast, the purpose of this study is to demonstrate that the cross-cultural capability of cultural intelligence can lead to both positive and negative outcomes. Applying the general theory of confluence, we propose that expatriates high in CQ excel in customer relationship performance, (...) while simultaneously behaving opportunistically. We also suggest that ethical relativism moderates these relationships. Using mixed methods, four separate studies generally support our predictions while also deepening our understanding of various forms of opportunism and the mechanism behind two seemingly opposing effects. Conceptual and managerial implications of CQ for opportunism, customer relationship performance, and ethics are discussed. (shrink)

Ruth Macklin's new book, AgainstRelativism, says in its subtitle that it intends to address cultural diversity and the search for ethical universals in medicine. This it does very well. Every chapter includes some discussion of cultural relativism, cultural anthropology, or postmodernism, and her analyses are acute and scathing. Macklin is unabashed in her defense of the principles of medical ethics, and she gives a strong argument that principles are essential elements of any ethical system that (...) is to successfully survive the skeptical doubts of relativism. (shrink)

The goal of this paper is to review and describe the characteristics and outcomes of ethics consultations on a gastrointestinal oncology service and to identify areas for systems improvement and staff education. This is a retrospective case series derived from a prospectively-maintained database of the ethics consultation service at Memorial Sloan Kettering Cancer Center. The study analyzed all ethics consultations requested for patients on the gastrointestinal medical oncology service from September 2007 to January 2016. A total (...) of 64 patients were identified. The most common primary ethical issue was the DNR order, followed by medical futility. The most common contextual issues were dispute/conflict between staff and family, dispute/conflict intra-family, and cultural/ethnic/religious issues. The majority of ethical issues leading to consultation were resolved ; i.e., the patient, surrogate, and/or healthcare team followed the recommendation of the ethics consultant. 22% had a DNR order prior to the ethics consult and 69% had a DNR order after the consult. In this population of patients on a gastrointestinal oncology service, ethics consultations are most often called regarding patients with advanced cancers and the most common ethical conflicts arose between families and the health care team over goals of care at the end of life, specifically related to the DNR order and perceived futility of continued/escalation of treatment. Ethics consultations assisted with conflict resolution. Conflicts might be reduced with improved communication about prognosis and earlier end of life care planning. (shrink)

In the face of differences between the ethical religio-philosophies believed across the globe, how should a media ethicist theorize or make recommendations in the light of theory? One approach is relativist, taking each distinct moral worldview to be true only for its own people. A second approach is universalist, seeking to discover a handful of basic ethical principles that are already shared by all the world's peoples. After providing reasons to doubt both of these approaches to doing media ethics, (...) consideration is given to a third. This under-explored approach offers moral claims that would be reasonable for nearly all long-standing cultures to accept even though they currently do not, with the aim of creating new common ground among them. The chapter advances some rights and responsibilities, particularly as they concern the media's role in respect of self-government and self-expression, on which many of those with African, Confucian, Islamic, and Western foundational commitments could sensibly converge. (shrink)

We argue for the addition of trauma informed awareness, training, and skill in clinical ethics consultation by proposing a novel framework for Trauma Informed Ethics Consultation (TIEC). This approach expands on the American Society for Bioethics and Humanities (ASBH) framework for, and key insights from feminist approaches to, ethics consultation, and the literature on trauma informed care (TIC). TIEC keeps ethics consultation in line with the provision of TIC in other clinical settings. (...) Most crucially, TIEC (like TIC) is systematically sensitive to culture, history, difference, power, social exclusion, oppression, and marginalization. By engaging a neonatal intensive care ethics consult example, we define our TIEC approach and illustrate its application. Through TIEC we argue it is the role of ethics consultants to not only hold open moral spaces, but to furnish them in morally habitable ways for all stakeholders involved in the ethics consultation process, including patients, surrogates, and practitioners. (shrink)

Is it possible, given culturally incongruent perspectives, to validate any common standards of behavior? Is it possible to implement human rights in societies without incorporating the idea into their fabric of culture? Is it possible for cultural communities to survive in the contemporary world without rights protection? This book addresses questions like these in the light of an inventive and original understanding of culture.

This workbook is a companion to Clinical Ethics Consultation: A Practical Guide to Changing Culture, Building Capacity and Solving Problems Case by Case. The Toolkit lays out the process for clinical ethics consultation in a series of steps within five phases: Pre-Consult, Interviews, Mid-Consult, Consult meeting(s), and Post-Consult. For each step, the Toolkit provides directions for how to complete it, tips for success, and worksheets for capturing data and analysis. The Clinical Ethics Consultation Toolkit (...) is the playbook from which clinical ethics consultants can draw methods and strategies for effectively delivering ethics consultation. (shrink)

In the rapidly evolving healthcare environment, perhaps no role is in greater flux and redefinition than that of the clinical bioethicist. The discussion of ethics consultation in the bioethics literature has moved from an ambiguous concern regarding its proper place in the clinical milieu to the more provocative question of which methods and theories should best characterize the intellectual and practical work it claims to do. The American Society for Bioethics and Humanities addressed these concerns in its 1998 (...) report, CoreCompetenciesforHealthCareEthicsConsultation. The report tries to answer the question as to what disciplinary training, background experience, and levels of knowledge in ethics the clinical ethics consultant should have, and what specific skills and character traits the clinical ethics consultant should cultivate. In addition to acquiring knowledge of common bioethical issues, theoretical concepts in ethical theory and moral reasoning, and health-related law and policy, the report also recommends that ethics consultants demonstrate knowledge of the health beliefs and perspectives of patients and healthcare providers. In our opinion, this recommendation underscores a crucial aspect of the practice of ethics consultation in the increasingly multicultural settings of healthcare institutions. Clearly, the dynamic of American life and culture is permeated with diversity and variety as new groups suffuse their own beliefs and faith perspectives into the health sector. New immigrant groups force society to question traditional healthcare practices and to accommodate changing medical needs. (shrink)

The key problem for normative (or moral) cultural relativism arises as soon as we try to formulate it. It resists formulations that are (1) clear, precise, and intelligible; (2) plausible enough to warrant serious attention; and (3) faithful to the aims of leading cultural relativists, one such aim being to produce an important alternative to moral universalism. Meeting one or two of these conditions is easy; meeting all three is not. I discuss twenty-four candidates for the label (...) "cultural relativism," showing that not one meets all three conditions. In the end I conclude that cultural relativists have produced nothing that threatens universalism. (shrink)

This article deals with socio?cultural ethical relativism. An attempt is made to analyze an ethical relativistic statement, i.e. a statement which, prima facie, ascribes different value?qualities to the same type of conduct, depending on the society in which it occurs. The conclusion arrived at is that, in the main, such statements do not express genuine relativism. On the other hand, views which can be regarded as genuinely relativistic, arc found to lack plausibility.

This article examines the shift in the concept of realism and relativism in ethics in early modern Europe. It suggests that the problem of the nature and foundations of moral rightness and moral obligation became visible to philosophers of the early modern period as they began to reconsider the problems of error, superstition, and illusion to question traditional authorities and to devote attention to scientific methodology and the logic of discovery. It contends that the doctrine that qualities are (...) perceiver-relative, combined with an increased awareness of other ages and cultures, made moral relativism an attractive position, even while its less attractive implications were grasped at the same time. (shrink)

Clinical ethics consultation service remains undeveloped in developing countries. It is recognised that its introduction poses challenges. Malaysia, a multicultural society with diverse religions, values and perceptions further complicate the introduction of formal clinical ethics consultation service. Clinicians attending a national congress workshop completed a Strengths–Weaknesses–Opportunities–Threats analysis. The aim was to gain insight into clinician’s expectations and promote initiatives leading to the introduction of clinical ethics consultation service. Clinicians agree that clinical ethics (...) class='Hi'>consultation service can improve quality of care, reduce healthcare costs and advocate for patients and providers. The analysis highlighted constraints in sufficient critical mass of relevant expertise and restricted opportunities for training. The opportunities lie in education, curriculum development and availability of dedicated proponents. Cultural barriers, limited resources, lack of awareness, differenc... (shrink)

This paper examines the relationship between organizational ethical culture in two large international CPA firms, auditors'' personal values and the ethical orientation that those values dictate, and judgments in ethical dilemmas typical of those that accountants face. Using an experimental task consisting of multiple judgments designed to vary in "moral intensity" (Jones, 1991), and unique as well as tried-and-true approaches to variable measurements, this study examined the judgments of more than three hundred participants in our study. ANCOVA and path analysis (...) results indicate that: (1) Ethical judgments in situations of high moral intensity are affected by personal values and by environmental variables, such as the professional code of conduct (direct and indirect effects) and previous ethics instruction (direct effect only). (2) Corporate ethical culture, and a relatively strong firm rules-orientation, affect auditors'' idealism but not relativism, and therefore indirectly affect ethical judgments. Jones'' (1991) moral intensity argument is supported: differences in the characteristics of specific judgment tasks apparently result in different decision processes. (shrink)

Despite an increase in international business ethics research in recent years, the number of studies focused on Latin America and China has been deficient. As trade among Pacific Rim nations increases, an understanding of the ethical beliefs of the people in this region of the world will become increasingly important. In the current study 208 respondents from Peru and China are queried about their ethical ideologies, firm practices, and commitment to organizational performance. The empirical results reveal that Chinese workers (...) are more relativistic and less idealistic than their Peruvian counterparts. One explanation for the disparity between these two groups is likely the variation in collectivism that can be traced to different levels of importance across ingroups and outgroups. In addition to a summary of the results, future research directions and managerial implications are discussed. (shrink)

BackgroundThis study aims to quantitatively and qualitatively evaluate the activities of a Bioethics Unit (BU) 5 years since its implementation (2016–2020). The BU is a research unit providing empirical research on ethical issues related to clinical practice, clinical ethics consultation, and ethical education for health care professionals (HPS).MethodsWe performed an explanatory, sequential, mixed-method, observational study, using the subsequent qualitative data to explain the initial quantitative findings. Quantitative data were collected from an internal database and analyzed by descriptive analysis. (...) Qualitative evaluation was performed by semi-structured interviews with 18 HPs who were differently involved in the BU’s activities and analyzed by framework analysis.ResultsQuantitative results showed an extensive increment of the number of BU research projects over the years and the number of work collaborations with other units and wards. Qualitative findings revealed four main themes, concerning: 1. the reasons for contacting the BU and the type of collaboration; 2. the role of the bioethicist; 3. the impact of BU activities on HPs, in terms of developing deeper and more mature thinking; 4. the need to extend ethics support to other settings. Overall, our results showed that performing both empirical bioethics research and more traditional clinical ethics activities at the same unit would produce an impetus to increase collaboration and spread an 'ethical culture' among local HPs.ConclusionsOur findings contribute to a growing body of literature on the models of clinical ethics support services and the role of empirical research in bioethics internationally. They also prepare the ground for the implementation of a multidisciplinary Clinical Ethics Committee (CEC) that aims to support the BU’s ethics consultation service within the local context. (shrink)